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Certification Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, as amended, <br />Nonprocurement Debarment and Suspension, 2 CFR Part 2998, Subpart C, Responsibilities of Participants <br />Regarding Transactions. The regulations were published as Part VII of the May 26, 1988 Federal Register <br />(pages 19160-19211), and subsequently amended in 81 Federal Register 25585. <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - <br />Attached) <br />1. The prospective recipient of federal assistance certifies to the best of its knowledge and belief, that it and <br />its principals: <br />a. Are not presently excluded or disqualified; <br />b. Have not been convicted within the preceding three years of any of the offenses listed in 2 CFR <br />180.800(a) convicted or had a civil judgment rendered against them for one of those offenses within that <br />time period. <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, <br />State or local) with commission of any of the offenses listed in 2 CFR 180.800(a); and <br />d. Have not had one or more public transactions (Federal, State or local) terminated within the preceding <br />three years for cause or default. <br />2. Where the prospective recipient of federal assistance is unable to certify to any of the statements in this <br />certification, such prospective participant shall attach an explanation to this proposal. <br />f <br />r - rn c•— i M z f) e t — - V--� %�' " A'* v-- 4" <br />Name and Title of Authorized Representative <br />Signature <br />Date <br />—1 — 21 -- 20 2— � <br />EXHIBIT C <br />Page 1 of 2 <br />